Q.2 Ans: the primary purpose of health record is ANS "C" the legal health record document is to primary for the making decision about patient condition and treating the patient proof for everything as per document guidelines if provider documented it’s done if it’s not documented its not done.
Q3 Ans: Electronic and paper health record combines it’s called hybrid health record
Q4 Ans it’s generated during patient hospital admission
The primary purpose(s) of the legal health record a. is to support the decisions made in...
is any information about the health status, the provision of care, or the ent for health care that can be linked to or can identify a specific patient. a. The legal health record b. The designated record set c. The patient health record d. Protected health information Which type of form is used to document a patient's approval, assent, or permis- sion to receive care? a. authorization b. consent c. advance directive d. admission 7. Security safeguards include a. policies...
Sharp en Your Comprehension Coetmtches each of the numbered statements. For each staterment, only one an matching exercise by selecting, from she lis provided, she anner carnect a. advance directive c court order d. deposition e durable power of attorney judiciary & privacy h. security i subpoena j. warrant Right to prevent the nonconsensual disclosure of confidential information 2. Decision or court order issued by a judge during a court procedure Legal document ordering that a person, a document, or...
Check Your Understanding 2.2 1. Which of the following statements is false? The legal health record is the portion of the health record that will be disclosed up a. request to parties outside the organization. b. The legal health record can be defined as the unofficial business record used for e dentiary purposes created by or for the healthcare organization. c. The legal health record contains individually identifiable information stored on a medium and collected and directly used in documenting...
please help! thats registered health info administrator (RHIA) exam preparation Domain 1 7. In a long-term care setting, these are problem-oriented frameworks for additional patient assessment based on problem identification items (triggered conditions): a. Resident Assessment Protocols (RAP) b. Resident Assessment Instrument (RAI) c. Utilization Guidelines (UG) d. Minimum Data Sets (MDS) 8. Conducting an inventory of the facility's records, determining the format and location of record storage, assigning each record a time period for preservation, and destroying records that...
16 uscitate (DNR) onder What is inchuded under protected health information (PH)? 2. Living will A) Patient's favorite food 5. Physician Orders for Lif Patient's favorite color Patient's social security number Treatment (POLST (A) A signed, dated. and witnessed legal Patient's library card number ment that appoints someone else to 3. What is the correct response by a nursing assistant if someone who is not directly involved with a resident's care asks for a medical decisions for a person in...
Chapter 2 Quality Assurance and Legal issues in Healthcare Chapter Review Questions 1. This organization establishes standards for the operation of hospitals and other health care facilities and services a. American Hospital Association b. College of American Pathology c. National Accrediting Agency d. The Joint Commission 9. A phlebotomist hired by a hospital as a temporary employee commits a negligent act for which the hospital is liable. This is an empleo a t and battery respondent superior b. res ipsa...
30. A client admitted to a health care facility uses a walker for support. What is the nurse's responsibility with regard to the walker when admitting the client to the nursing unit? A) Provide the client with another walker during their stay at the facility B) Mark the clients walker with a large, easily readable label. C) Keep the walker in a locker until the client is discharged. D) Ask relatives to bring the walker only at the time of...
This chance directive includes all healthcare decisions and names a healthcare proxy. It can also Indlede healthcare wishes. Do Bol resuscitate Healthcare proxy Medical durable power of attorney . Living will are written instructions about healthcare decision, should a person be unable to make them. Medical durable power of attorney Healthcare proxy Advance directives d. Living will 31. This act initially made it easier to donate organs. The revised act provides uniformity in organ and tissue donations across the nation....
12. The nurse working with a terminally ill natient/client wishes to support the patient/client's decisions concerning end-of-life care, To do this appropriately, the nurse should plan to do which of the following? a. Be comfortable in assisting the natient client with cuthanasia when requested to do so b. Ask another nurse to provide care if the patient client has a belief system that differs from their own belief system e. Respect the patient elient's wishes about death to the extent...
please help! thats registered health info administrator (RHIA) exam preparation Domain 1 25. Borrowing record entries from another source as well as representing or displaying past documentation as current are examples of a potential breach of: a. Identification and demographic integrity b. Authorship integrity c. Statistical integrity d. Auditing integrity 26. The process by which a person or entity who authored an EHR entry or document seeks to validate that they are responsible for the data contained within it is...